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Case Reports in Emergency Medicine
Volume 2012 (2012), Article ID 679121, 3 pages
http://dx.doi.org/10.1155/2012/679121
Case Report

Ovarian Torsion in a 5-Year Old: A Case Report and Review

Department of Emergency Medicine, College of Medicine, University of Florida, P.O. Box 100186, Gainesville, FL 32610-0186, USA

Received 5 March 2012; Accepted 22 April 2012

Academic Editors: V. Papadopoulos and M. Sand

Copyright © 2012 Matthew F. Ryan and Bobby K. Desai. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.